This Glycemic Control Implementation Toolkit is part of a continuing effort over the last decade by the Society of Hospital Medicine (SHM) to provide accurate guidance on best practices in glycemic control in the inpatient setting. This comprehensive Toolkit focuses not only on what should be done but also on how to do it. This is the fourth major revision of the Glycemic Control Online Toolkit, further illustrating SHM’s dedication to meeting the needs of its members, continuous improvement and addressing major issues occurring in hospitals around the world.
The goal of this Toolkit is to provide users with concise guidance and tips to help them assess the current state of their glycemic control care, gain institutional support, build an effective team, choose metrics to follow, implement proven interventions and continue to assess and improve over time. We have chosen to focus this edition less on the research and justification for these measures, though we will refer users to these resources, and instead to spend our time on clear, actionable guidance to help teams that are champions in their institutions to improve patient care regarding the prevention of hypoglycemia and appropriately preventing and treating hyperglycemia.
We recognize that there are knowledge gaps about evidence surrounding some of these recommendations, and that research and guidelines are still evolving in this area. However, incomplete or imperfect evidence is not an excuse for inaction or unacceptable standards that have been shown to be ineffective and at times potentially dangerous to patients. Thus, we will make recommendations based on the best evidence available, making every effort to make this information clear. Please keep in mind from the outset that achieving safe and effective glycemic control for inpatients requires a multidisciplinary approach. From the team composition to the design and implementation of interventions, all levels of the hospital and staff must be actively involved. We must also remember that our goals do not end on discharge. In addition to preventing uncontrolled hyperglycemia and not causing hypoglycemia, we must also ensure safe and effective transitions into and out of the hospital and provide adequate education to set patients on the right path to controlling their disease for a lifetime.
Throughout this Toolkit you will achieve the following essential elements to reach breakthrough levels of improvement in the care of patients with hyper- and hypoglycemia:
Glycemic Control Project Team
The first edition of this Toolkit was supported in part by a non-educational grant from sanofi-aventis US, LLC.
The second edition of this Toolkit is supported in part by an educational grant from Novo Nordisk in 2015.
The Glycemic Control Implementation Toolkit is an online resource for visitors to the Society of Hospital Medicine's (SHM’s) website. All content and links have been reviewed by the Glycemic Control Implementation Toolkit Project Team; however, the Society of Hospital Medicine does not exercise any editorial control over content associated with the external links that have been made available via this website.